Final Disposition Form CAP


Who is the assigned attorney (required)
First:
Last:

How many clients are being closed with this case?

What is your client's name? (required)
First:
Last:

What type of service was provided?

The outcome for the client was: (required)

The placement outcome for the client was: (required)

Which of the below additional services were provided for the client?

What amount was recovered in attorney's fees?

Please report the total pro bono hours for the assigned attorney named above:
Quarter 4 - 2018 (Oct - Dec):
Quarter 1 - 2019 (Jan- Mar):
Quarter 2 - 2019 (Apr - Jun):
Quarter 3 - 2019 (Jul - Sep):

Did additional attorneys work on this case?

Please report the total pro bono hours for any additional attorneys who worked on this case:
Additional Attorney 1:
First Name:
Last Name:

Quarter 4 - 2018 (Oct - Dec):
Quarter 1 - 2019 (Jan- Mar):
Quarter 2 - 2019 (Apr - Jun):
Quarter 3 - 2019 (Jul - Sep):

Additional Attorney 2:
First Name:
Last Name:

Quarter 4 - 2018 (Oct - Dec):
Quarter 1 - 2019 (Jan- Mar):
Quarter 2 - 2019 (Apr - Jun):
Quarter 3 - 2019 (Jul - Sep):

Additional Attorney 3:
First Name:
Last Name:

Quarter 4 - 2018 (Oct - Dec):
Quarter 1 - 2019 (Jan- Mar):
Quarter 2 - 2019 (Apr - Jun):
Quarter 3 - 2019 (Jul - Sep):

Program Feedback: please provide any suggestions, experiences, or positive or negative feedback that we may use to improve the CAP program.

Additional Comments:

This form was completed by:
Name:
Phone:
Email:

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Please take a moment to SHARE YOUR CLIENT SUCCESS STORY and tell us how your pro bono service changed a client’s life for the better.